<include file="inc:header" />
<div class="page " id='{$data.act}' >
<?php
	$this->_var['back_url'] = U:('uccenter/index');
	$this->_var['back_page'] = "#uc_center";
	$this->_var['back_epage'] = $_REQUEST['epage']=="" ? "#Uccenter" : "#".$_REQUEST['epage'];
?>
	<include file="inc:title" />
<div class="content">

<!-- 这里是页面内容区 -->
<!--登记借款-->

<div class="register_login" id="mb_re_pwd">	
		<div class="bg_fff register_login_pd">
			<div class="bor height w_b">
				 <div class="name">姓名</div>
				 <div class="r_l_input w_b_f_1"  name="real_name">{$data.user_info.real_name}</div>
				 <input  id="user_name" name="user_name" type="hidden" value="{$data.user_info.real_name}" >
			</div>
			<div class="bor height w_b">
				 <div class="name">身份证</div>
				 <div class="r_l_input w_b_f_1"  name="idno">{$data.user_info.idno}</div>
				 <input  id="ID_NO" name="ID_NO" type="hidden" value="{$data.user_info.idno}" >
			</div>
			<div class="bor height w_b">
				 <div class="name">手 机 号</div>
				 <div class="r_l_input w_b_f_1"  name="mobile">{$data.user_info.mobile}</div>
				 <input  id="mobile" name="mobile" type="hidden" value="{$data.user_info.mobile}" >
			</div>
			<div class="bor height w_b">
				 <div class="name">验 证 码</div>
				 <input class="r_l_input w_b_f_1" id="verify_code" name="verify_code" type="text" placeholder="请输入验证码">
				 <div class="ui-button_getcode_parent" style="  width:6rem;"><input class="ui-button_getcode " id="getcode" type="button" value="获取验证码"></div>
			</div>
			<div class="bor height w_b">
				 <div class="name">贷款金额</div>
				 <input class="r_l_input w_b_f_1" id="money" name="money" type="text" placeholder="请输入您想要申请的金额">
			</div>
			
			<div class="bor height w_b">
				<label >贷款期限：</label>
				<input class="r_l_input w_b_f_1 w100" id="time_limit" name="time_limit" type="text" placeholder="请填写贷款期限"> &nbsp;
				<select name="unit" id="unit" class="f_l select">
					<option value="0">天</option>
                	<option value="1">月</option>
				</select>
			</div>
			<div class="bor height w_b">
				 <label >借款用途：</label>
				<select id="usefulness" name="usefulness" class='select'>
				<foreach nage="data.usefulness_type_list" item="item">
				<option value="{$item.id}">
					{$item.name}
				</option>
				</foreach>
				</select>
			</div>
		</div>
		<div class="register_login_pd">
			<input class="ui-button_login r_l_but" type="submit" name="commit" id="signup-submit" value="提交">
		</div>		
</div>
	<include file="inc:footer" />
